Organization
JOE ELLIS WHEELER
Active
Other names
JOE ELLIS WHEELER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY FAYE FRENZEL (BILLING/COLLECIONS SUPERVISOR)
(817) 335-3966
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST, SUITE 305, FORT WORTH, TX 76104-7400
(817) 335-3966
(817) 335-7926
Mailing address
1650 W ROSEDALE ST, SUITE 305, FORT WORTH, TX 76104-7400
(817) 335-3966
(817) 335-7926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D1855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154007-01
—
TX
Enumeration date
06/16/2009
Last updated
06/16/2009
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